HIV抗体唾液快速检测试剂支付意愿及其影响因素分析

目的 了解HIV自愿咨询检测求询者、性病门诊就诊者、高校学生、社区流动人口、女性性工作者、MSM和注射吸毒者对HIV抗体唾液快速检测试剂的支付意愿及其影响因素。方法 采用不同抽样方法,对7类人群共511人进行匿名问卷调查,回收有效调查问卷509份。结果 调查对象中男性占54.8%,20～29岁占41.5%,高中及以上文化程度者占60.3%,未婚者占55.4%,无业者占37.3%,每月可支配费用低于2 000元者占73.3%.调查对象中44.2%曾经做过HIV检测,28.3%听说过HIV抗体唾液检测,21.0%愿意接受唾液检测,仅2.0%做过唾液检测,仅1.0%买过试剂自检,84.1%愿意购买HIV抗体唾液快速检测试剂。单因素logistic回归分析显示:人群类别、年龄、文化程度、工作情况、每月可支配费用、HIV检测经历和唾液检测意愿与HIV抗体唾液快速检测试剂支付意愿有关;多因素logistic回归分析提示,人群类型和每月可支配费用与HIV抗体唾液快速检测试剂支付意愿有关。结论 HIV抗体唾液快速检测试剂的支付意愿存在地区和人群差异;不同人群对HIV抗体唾液快速检测试剂的支付意愿不同;支付能力影响支付意愿。

Analysis on willingness to pay for HIV antibody saliva rapid test and related factors

Objective To understand the willingness to pay for HIV antibody saliva rapid test and its influential factors among people seeking counsel and HIV test,STD clinic patients,university students,migrant people,female sex workers (FSWs),men who have sex with men (MSM) and injecting drug users (IDUs). Methods An anonymous questionnaire survey was conducted among 511 subjects in the 7 groups selected by different sampling methods,and 509 valid questionnaires were collected. Results The majority of subjects were males (54.8%) and aged 20-29 years(41.5%). Among the subjects,60.3% had education level of high school or above,55.4% were unmarried,37.3% were unemployed,73.3% had monthly expenditure <2 000 Yuan RMB,44.2% had received HIV test,28.3% knew HIV saliva test,21.0% were willing to receive HIV saliva test,2.0% had received HIV saliva test,only 1.0% had bought HIV test kit for self-test,and 84.1% were willing to pay for HIV antibody saliva rapid test. Univariate logistic regression analysis indicated that subject group,age,education level,employment status,monthly expenditure level,HIV test experience and willingness to receive HIV saliva test were correlated statistically with willingness to pay for HIV antibody saliva rapid test. Multivariate logistic regression analysis showed that subject group and monthly expenditure level were statistically correlated with willingness to pay for HIV antibody saliva rapid test. Conclusion The willingness to pay for HIV antibody saliva rapid test and acceptable price of HIV antibody saliva rapid test varied in different areas and populations. Different populations may have different willingness to pay for HIV antibody saliva rapid test;the affordability of the test could influence the willingness to pay for the test.